1975, 04-15 Permit App: K7231 Garage•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT l f =
GENERAL REQUIREMENTS PERMIT FEE ___________________________
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
Skind pokanerCountyrBuildinglCode or andstructure Zoning Ordinance.eConstructi nor oishsubjecte a ltodinspection.traction mast conform with the
NATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked ro County Road Department and work must be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE "S
ate'" � -� , 34 a7
Name of Owner
Architect
Engineer
Contractor 46
(Gi
Address
Address
=Address
from defd, tax receipt, eAc.)
Phone
_ rnone
e / 117
DESCRIPTION OF WORK: New Addition Remodel Moving Bid . ne Fire Zone 'S
Size of Lot Sewage System �FornstC.o�, Br., etc.)
Stories Dimensions Total Sq. Ft.aluati
Rooms Baths Basement Foundation Const. Chimney (Kind) Fireplace Number
Full, part, noneT--
Heat. System Typ of fing Ext. Finish '— Int. Wall Finish _
Use of Bldg. i No. of Units —Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
NORTH��
SOUTH
,;�C- 76
rw 1,
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
(3) location of existing and
(6) location of sewage sys-
State License No.
Ind. t. No.
I heMbc'fy=informaion su 't orrect and there are no other structures located on this property except
as shown. ..le ,;?5 �—
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Pe it Nuvoer
� Rerks .�=�� i ��}r�., �
Issued Buildimt Permi
The zone
Receipt Issued
Form 523 Bldg. Code
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